<body>

<div id="main">

<form class="cmxform" id="signupForm" action="index.php">
	<fieldset>
		<legend>Inscription</legend>
		<p>
			<label for="firstname">Nom</label>
			<input id="firstname" name="firstname" />
		</p>
		<p>
			<label for="lastname">Prenom</label>
			<input id="lastname" name="lastname" />
		</p>
		<!-- <p>
			<label for="username">Username</label>
			<input id="username" name="username" />
		</p>-->
		<p>
			<label for="email">Email</label>
			<input id="email" name="email" />
		</p>
		<p>
			<label for="pass">Mot de Passe</label>
			<input id="pass" name="password" type="password" />
		</p>
<!--		<p>
			<label for="confirm_password">Confirm password</label>
			<input id="confirm_password" name="confirm_password" type="password" />
		</p>-->
		<p>
			<label for="confirm_password">Confirm </label>
			<input id="c_password" name="c_password" type="password" />
		</p>
		<p>
			<input class="submit" type="submit" value="Submit" name="sbt_reg"/>
		</p>
	</fieldset>
</form>

</div>


</body>
</html>